Isifinyezo sezimpawu zezifo ezahlukahlukene zomgogodla

Ama-Spinal Discitis account ngo-2% kuya ku-7% wazo zonke izifo ze-musculoskeletal ezibangelwa amagciwane, isikhunta, futhi, kuyaqabukela, ngama-parasites. Cishe isigamu sawo wonke amacala okutheleleka kwama-spinal atholakala emgogodleni we-lumbar, ngaphezulu kwengxenye eyodwa kwezintathu emgogodleni we-thoracic, kanye nezinsalela emgogodleni wesibeletho.

Ukutheleleka okuhlanzekile

I-Purulent Spinal Discitis (PS) ivame ukubangelwa ukutheleleka okusatshalaliswa nge-hematogenous, nge-staphylococcus aureus ukuba yi-pathogen evame kakhulu, okuvame ukuhlanganisa umgogodla we-lumbar, kanye nama-X-ray anciphe ngokucaciswa nokuzwela kwezifo zalesi sifo. I-MRI ethuthukisiwe yindlela yokuzikhethela yokuxilongwa kusenesikhathi kwezifo zomgogodla; I-MRI ikhombisa amathambo e-edema kanye nokwenza ngcono izidumbu ze-vertebral, ama-disc we-invertertebral, isikhala esidabukisayo, kanye / noma izicubu ezithambile ezithambile noma ngaphandle kokwakheka okukhona ngokuyinhloko okuseduze kwe-vertebral explates.

Qaphela: (a) I-Lateral Lumbar Spine Radiograph ekhombisa ukulahleka kwe-L4 -L3 Disc Ukulahleka nokucekelwa phansi kwe-L4 (umcibisholo). 

(b) Isiliphu esimnandi sangemuva ku-L3. Ukubhujiswa kwe-L3 - l4 disc ngezinguquko ezikhuphelisayo ezikhungweni eziseduze (imicibisholo). 

. Izicubu ezithambile ze-prevertebral zinama-edematous futhi zinezinguquko ezivuvukala. 

. Qaphela ukuqondiswa komsele ophakathi nendawo (umcibisholo).

Isifo sofuba

Isifo sofuba somgogodla (TS), ukutheleleka okuvame kakhulu okuhlanzekile okungenakususwa okubangelwa i-Mycobacterium Duberculosis, kanye nezici zokucabanga ezihlukanisa ama-Ts ezivela etafuleni elingezansi:

Ama-radiographs sekwephuzile akhombisa ukubhujiswa kwamathambo, ukuncipha kokuphakama kwe-disc kanye nama-abloses athambile athambile noma ngaphandle kokubala kwezicubu ezithambile ezizungezile.

E-MRI, ubukhulu bokuqina kwesiginali ephansi kwe-T1 kanye nobuningi bokulandelana okubucayi koketshezi kubandakanya umzimba we-vertebral futhi kunganwebeka ngendlela etholwayo kuya kwamanye ama-vertebrae, ngokuvamile ngaphandle kokubandakanya i-disc.

Amanothi: Owesilisa oneminyaka engama-65 ubudala (a) axial futhi (b) ama-lumbar abscesses (asterisks) ane-sepan kanye ne-wall ukuthuthukiswa (imicibisholo emhlophe) .l3 kuya ku-s1 vertebral ukuthuthukiswa komzimba. I-disc ye-inveryertebral disc engenakuthuthuka okukhulu. I-Dral Sac Compression (umcibisholo omhlophe). (c) Izithombe zokwakhiwa kabusha kwe-CT ze-L3 kuya ku-S1 Vertebral.

Ukutheleleka kweBruculla

I-BrucEllol yi-emplosis yomhlaba wonke ye-soonosis ebangelwa yi-bacillus ebi ne-gram. Imvamisa kubandakanya umgogodla we-lumbar, ikakhulukazi uL4.

Lesi sifo siqala engxenyeni engaphandle yomzimba we-vertebral we-disc ye-intertertebral futhi ingalimaza amalunga amancane. Ama-abscestebral we-paravertebral avela kaningi futhi mancane ngosayizi kunama-ts. I-vertebral anatomy ihlala ihlala iqinile.

QAPHELA: Ukutheleleka kweBruculla Lumborum, ama-radiographs abonisa i-sclerosis ye-lumbar vertebrae, ukushelela kwe-lumbar vertebrae, ukucekelwa phansi kwe-bony cribriforms yomzimba we-vertebral womzimba we-vertebral.

Ukutheleleka fungal

Ukutheleleka kwesikhunta se-fungal (FS) akuvamile futhi kuvame ukubonwa ezigulini ezingenasisekelo. Isikhunta eziningi kungenzeka sibandakanyeka, kufaka phakathi ama-pseudomonas, i-aspergillus, i-bacillus, kanye ne-coccidioides. Umgogodla we-thoracic yindawo evame kakhulu, futhi efana ne-TS, inqubo ethathelwanayo iqala engxenyeni engaphandle ye-vertebrae futhi kwesinye isikhathi ingasakazeka i-vertebrae ye-nonadjentrance.

Qaphela: I-CT Scan Sagittal Image yesiguli ene-coccidioidoomycosis. Izilonda ezilinganiselwe ze-bony ngaphandle kokumamatheka kwe-sclerotic zijwayelekile kwale pathogen esethulweni. Ukubhujiswa okubanzi kwe-T1 kuholela ekuweni kwe-vertebral. Ngaphandle kwesikhumbuzo esibanzi se-bony, isikhala se-C7-T1 sokungenelela sasigcinwe, ushintsho lwesimo ku-coccidioidomycomycos (iphaneli yesokudla) Inyanga yesiguli esifanayo iqinisekisa ukulondolozwa kwenyanga efanayo ye-C6-C7 Disc. I-lesuon ye-bony inwebelwe emzimbeni wethambo elingaphansi emzimbeni we-vertebral, okuholela ekuthelelekeni kwezicubu ezithambile ze-anterior anteri Izinguquko ezithathelwanayo zisakazeka emazingeni amaningi, zikhomba kalula imodi yokusabalalisa ngohlobo oluhlosiwe, olungaholela ezilondeni eziningi emazingeni e-nonadja.

I-Ankylosing Spondylitis

I-Ankylosing Spondylitis (AS) iyisifo sokuvuvukala sokuvuvukala okungamangalo

Okunye ukucaciswa kweziguli ezinakho njengokuthuthuka kwezifo ze-disc ezikhawulelwe, futhi ku-imaing, i-al ingahlukaniswa kusuka ku-inflondylitis ngama-vertebrae okugxilwe kuwo endaweni eyodwa noma ezimbili eziseduze, kanye nezindawo ezisebenzayo ze-discles ezizungeze izinkinga ze-osteolytic.

Qaphela: Isineke nge-ankylosing spondylitis, owesilisa oneminyaka engama-44 ubudala onobuhlungu obungapheli emuva obuphansi kanye nobubanzi obulinganiselwe bokuhamba. I-Sagittal CT ye (a) i-thoracic kanye (b) i-lumbar spine bone iwindows i-Windows ikhombisa ukucacisa i-syndesmosis eluhlaza ezungeze i-hangitudinal ligament (imicibisholo). Kukhona ne-ossification kanye nokuhlanganiswa kwama-lumbar ligaments ama-ligaments (imicibisholo ekhonjisiwe). .

I-Osteomyelitis Syndrome

Isichazamazwi Sapho sibhekisela kwinhlanganisela ye-musculoskeletal kanye nokuzihlukanisa (i-Synovitis, izinduna, i-postulosis, i-ateteomoralar, kanye ne-sternoclavicular ellow amalunga) ukuba yi-lumbar kanye nomlomo wesibeletho umgogodla.Izinkomba ezivame kakhulu kuma-radiographs we-x-ray zingama-vertebral body osteolysis noma ngaphandle kokuwa, kanye ne-osteomolacia kanye nokubonakaliswa kwe-vertebral vertal okuhlangenwe nakho okuhlangenwe nakho okubucayi noma okugxilwe kuyo ngokulandelana kwe-cotyrical ukungahambi kahle ezindaweni zokungenelela kwama-discs wokungenelela noma ama-anteplates angaphandle, kanye nezicubu ezithambile.

Qaphela: Owesilisa oneminyaka engama-62 noSapho Syndrome. (a) Izithombe ze-sagittal T2 I-L1 iphinde yabuyiselwa emuva ngemuva kokuqhekeka okudala kokuqhekeka. . . (e) I-Bone Scan ekhombisa ukukhuphuka kwe-radiotracer kuwo womabili amalunga athintekile (ama-asterisk amhlophe).

I-Spondyloarthropathythropathy ehlobene ne-Dialysis

I-Spondyloarthropaththropathythropathyththropaththythropathy (DRS) ehlobene ne-pathologic ezigulini ze-hemodialysis ende yesikhathi eside. Kuvame kakhulu emgogodleni wesibeletho futhi kuvame ukuletha ukuncipha kwesikhala sokungenelela, ukucekelwa phansi kwezimali, ukuntuleka kwesifo se-sclerosis, ukwakheka kwamathambo amasha, izifo zamathambo / amathumba, nokuqiniswa kwesikhala.

Qaphela: I-Osteoporosis ebanzi ye-lumbar ne-sacral pelvis. Ukubhujiswa kwe-anterosupperior margin ye-lumbar 5 vertebrae nge-hyperplasia ye-sclerotic of the margins (ekhonjiswe ngumcibisholo obomvu). I-HyperPlasia esondelene ne-Scarring. Ukubhujiswa kwesobunxele sarwoliac okuhlanganiswe ngokubhujiswa kwendawo eyisisekelo ye-ilium, amathambo amaningi akhona angaphakathi, kanye ne-arverplasia yasendaweni enjengesikebhe (eboniswe yimicibisholo eluhlaza okwesibhakabhaka).

Qaphela: Kuthuthukiswe uMnu: Lumbar 4/5 Bleck disc enama-vertebral rim osteophytes, i-hypertrophy of ligamentum flavim, ukuncipha okuncane komsele womgogodla, kanye nokucindezelwa kophenyo lwangaphandle lwe-sac ye-carnal sac. Umzimba we-Lumbar 5 Vertebral u-concave eshubile futhi ungabonakala njengemichilo ye-T1 ende ye-T1 ne-T2 WI compression fat isinali ephezulu, futhi ukuthuthukiswa kuyabonakala ngemuva kokuthuthuka. Ama-patches amaningi wesiginali angajwayelekile abonakala ngaphansi kwezimali ze-lumbar 5 ne-sacrate 1 nangaphansi kwamalunga we-warloliac, anesiginali ephansi ku-T2WI kanye nesithuthukisi esiphakeme ku-T2WI, futhi ukuthuthukiswa kubonakala eziswidi zokuthuthukisa (imicibisholo ebomvu). Ukuqina kwezicubu ezithambile emugqeni ongaphandle we-sacral vertebrae kwabonakala, futhi ukuthuthukiswa kwabonakala ku-scan ethuthukisiwe (umcibisholo oluhlaza okwesibhakabhaka). Izimpawu zamathambo ze-ilium, i-hip, i-sacm kanye nekhanda lowesifazane ezinhlangothini zombili ze-pelvis azikhombisanga noma yikuphi ukungahambi kahle okusobala, futhi izibonakaliso zemisipha yangaphakathi nangaphandle zazijwayelekile, ngaphandle kwezikhala zemisipha ezijwayelekile, ngaphandle kwezimpawu zokunwebeka ezijwayelekile, ngaphandle kokunwebeka.

Umgogodla Gout

I-Spinal Gout ibonakala ngama-deposits of monocrystalline u-urate crystals (MUCS) emgogodleni. I-Spinal Gout ikakhulukazi ithinta umgogodla we-lumbar. I-Radiographs ikhombisa ukuvezwa okungenangqondo kanye ne-CT kungcono kubonise ukuguguleka kwamathambo nge-sclerotic margins. Ukubonakaliswa kwe-MRI ku-Nonspecific.

QAPHELA: I-CT Plain Scan ikhombisa ukuncishiswa kwesikhala okuhlanganayo nokubhujiswa komhlaba okuhlangene. I-Arthrocentesis iyadingeka ukuqinisekisa ukuxilongwa.

Neurospondylitis

I-Neurogenic Spondylitis (NS), i-arthropathy ethuthukayo eqhubekayo, yenzeka ngemuva kokulahleka kwemizwa nokuphamba. Imbangela ejwayelekile kakhulu ukulimala komgogodla womgogodla, okubangela amacala angama-70%. Ezinye izimbangela zifaka isifo sikashukela, izifo zomgogodla, nezinye izinkinga ze-neurologic ezinjenge-personing muscular dystrophy kanye ne-guillain-barbé syndrome. Ngenxa yeqhaza le-thoracolumbar kanye nama-lumbosacral amahlathi ekuthwaleni isisindo, ziyizindawo ezithintekayo kakhulu.

Ukubonakaliswa okujwayelekile kwe-NS kunezingcezwana zamathambo, ukungahambisani okuhlangene okuhlangene kanye nokungahambisani okuholela ekulweni komzimba we-vertebral, ama-explates amaningi kanye nokuhlunga okuncane okuhlangene kanye nokuhlunga okuncane kwezicubu.

Qaphela: Owesilisa oneminyaka engama-58 onomgogodla we-neuropathic. . Ukubhujiswa kweyunithi ye-L2-L3 yokungenelela ye-Inveryertebral disc ngokunwebeka kwesikhala sokungenelela (i-asterisk). . Izinguquko ezibalulekile zeClinal Cord Ethintekile ngemuva kwe-L2-L3-L4. Kukhona futhi ukuphakama kwezicubu ezithambile ngemuva kwangemuva nasengemuva kwezinqubo ezinama-spinoung (asterisks).